Clinical Case Report
Presentation
92 year old female patient living alone and fully independently presented with a NIHSS of 21.
The patient had right hemiplegia, global aphasia and was somnolent.
Imaging confirmed a Left MCA occlusion.
Dr. Christoph Maurer,
Senior Physician
University Hospital Augsburg, Germany
Pre-op CT
The CTA confirmed a left M1 occlusion.
On un-enhanced CCT only mild early ischemic signs were observed in the left basal ganglia.
The Procedure
54 mg IV-tPA was administered to this patient.
Dr. Maurer and the Augsburg stroke team decided to treat the patient with thrombectomy using a NeVa T-3S (4.5 mm x 29 mm) using simultaneous proximal aspiration.
Full recanalization was achieved in a single pass.
AP View of the left M1 occlusion
Lateral View of the left M1 occlusion
1st Pass: NeVa 4.5 x 29 mm + Co-Aspiration in Left MCA
Full recanalization (TICI 3) was possible with a single NeVa pass using SAVE technique.
The size of the DAC used for co-aspiration during the pass was 0.071″.
Angio Showing the 1st Pass Recanalization
A TICI 3 level recanalization was possible with a single pass.
Post-op CT
Control CT at 24 hours showed no infarct demarcation other than minor contrast pooling in the left basal ganglia.
24 hour NIHSS of the patient was 12.
Procedural Statistics
Clinical Success
24 hour NIHSS of the patient was 12.
At VESALIO, we feel blessed to be part of the stroke field where together with these dedicated physicians, we can make an incredible impact on people’s lives.
Thank you Augsburg!
